DR. HIEU THUAN PHAN MD
NPI 1053549931
Family Medicine in Redlands, CA

Q: What is Hieu Phan's NPI number?

The NPI number for Hieu Phan is 1053549931. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Q: What is Hieu Phan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Hieu Phan was last updated on December 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment

1600 E CITRUS AVE STE A, REDLANDS, CA 92374(909) 794-3682 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Hieu Thuan Phan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HIEU THUAN PHAN MD (NPI 1053549931) is an individual family medicine provider in Redlands, California, licensed in California (A123432) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053549931

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. HIEU THUAN PHANCredential: MD

Location Address1600 E CITRUS AVE STE ARedlands, CA 92374-4802

Mailing AddressPo Box 10069, Suite 103San Bernardino, CA 92423-0069 · (909) 335-4118

Phone(909) 794-3682

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 30, 2009

Last NPPES UpdateDecember 2, 2021

✔ NPI 1053549931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A123432

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1600 E CITRUS AVE STE A, Redlands, CA 92374

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hieu Thuan Phan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779739420

PECOS Enrollment IDI20131017000304

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNGHYUN CHUNG MD

Family Medicine